Comparison of Thrust Manipulation of Sacroiliac Joint and Pelvic Stabilization Exercises in Post Partum Low Back Pain

Riphah International University

Status: Enrolling

Conditions: Low Back Pain, Post Partum

Treatments: Other: pelvic stabilization exercises; Other: SI joint thrust manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT06303401

REC/MS-PT/01787 Gullalay

Details and patient eligibility

About

compare the effectiveness of SI joint thrust manipulation and pelvic stabilization exercises on Modified OSWESTRY Low Back pain Index (ODI) and Numeric Pain Rating Scale (NPRS) in patients with post-partum lower back pain.

Full description

Patients fulfilling the inclusion criteria will be divided into 2 groups i.e. Group A and Group B. Patients in Group A will receive thrust manipulation technique and Group B will receive pelvic stabilization exercises, heating pad will be given to both groups. Patients will be treated 3 times per week for 4 consecutive weeks. Patient will be evaluated at baseline, midline and at end of 4th week. Pain, functional status and disability will be evaluated after every 3 sessions.

Enrollment: 44 estimated patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 20-40 years
• Postpartum women (after 6 weeks)(3, 12)
• Postpartum LBP patient
• Patient pain increased by provocation test i.e. Faber test, High thrust test and Gaenslen test

Exclusion criteria

• C-section
• inflammatory or malignant type of pain
• Neurological deficit
• Severe trauma
• Pelvic fracture
• Osteoporosis, spinal stenosis, spondylolysis, spondoloesthesisi

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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44 participants in 2 patient groups

SI joint thrust Manipulation

Experimental group

Description:

The patient was supine and the therapist stood contralateral to the side which was to be manipulated. The patient was passively moved into side bending toward the side to be manipulated. The therapist passively rotated the patient, and then delivered a quick thrust to the Anterior Superior Iliac Spine (ASIS) in a posterior and inferior direction

Treatment:

Other: SI joint thrust manipulation

Pelvic Stabilization Exercises

Active Comparator group

Description:

Heating pad for 10- 15 mints Pelvic stabilization exercises. Bridging (3 sets x 10 reps with 10 secs hold), Pelvic Tilt exercise (3 sets x 10 reps with 10 secs hold), Bird-Dog Exercise (3 sets x 10 reps with 10 secs hold), clamshell Exercise (3 sets x 10 reps with 10 secs hold).

Treatment:

Other: pelvic stabilization exercises